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Provider Data Attestations

Per the Consolidated Appropriations Act, providers must update and attest to the accuracy of their provider directory data every 90 days — even if no changes are needed.

In addition, professional practitioners are required to attest to all other data elements every 120 days. This includes elements related to credentialing and licensing.

Failure to complete required attestations will result in being removed from our provider directory and may affect our ability to process claims on your behalf.

How to attest

Professional practitioners

Professional practitioners can complete attestations by logging in to the CAQH Provider Data Portal.

Facility and organizational (allied) providers        

Facility and organizational (allied) providers complete attestations by submitting a CAA change form. Follow the steps below to access the form you need:

Facility providers:

  1. Go to the Enrollment page
  2. Choose the Enroll or Make Changes button
  3. Select Hospitals and Facilities and click Next
  4. Choose your facility type and click Next
  5. Select the link for the BCBSM/BCN CAA Facility Change form in the Changes section

Organizational (allied) providers:

  1. Go to the Enrollment page
  2. Choose the Enroll or Make Changes button
  3. Select Physicians and Professionals and click Next
  4. Choose Change an existing provider and click Next
  5. Select the option that applies to you and click Next
  6. Choose the link for the Allied CAA Provider Change form

Once you’ve completed the form, fax it to us using the directions on the first page.

See Provider Data Changes for information about making changes to keep your data up to date.